Employment Application

Hinds Behavioral Health Services offers equal employment opportunity for employment to all applicants without regard to race, color, religion, sex, national origin, disability, age or military status.

Step 1 of 2 - PERSONAL INFORMATION

NOTE:

To be eligible to participate in the job posting process you must be employed in your current position for at least six (6) months, have a satisfactory work record, and be in good standing in your current position. Exceptions will require approval by the Executive Director.

- Each employee interested in applying for an open position is encouraged to have a discussion with his or her current Supervisor/Manager about his or her interest in applying for the position. If you indicate an interest in a new position, your current position or status at HBHS will not be jeopardized.

- HBHS Internal candidates will be given preference in consideration over similarly qualified external candidates. In doing so, HBHS will always attempt to hire and/or promote from within teams or departments when current employees may possess comparable or greater qualifications.
PERSONAL INFORMATION
Name*
First Middle Last
Email*
Phone*
Current Department*
Current Supervisor*
Hire Date*
MM slash DD slash YYYY
Job Applying For*
Department*
Why are you looking to leave your current position?*
How long have you been in your current position?*
Your qualifications for the job including degrees, licenses:*
Are you related to or would you be considered a *1 personal associate to anyone within the hiring department for which you are applying?*
*1”Personal Associates” are defined as individuals with close personal relationships such as “romantic” or “dating” relationships.
- Yes
- No
If yes, who?*

DOCUMENTS AND AUTHORIZATION
Upload Cover Letter, Resume and References
Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 8 MB.
AUTHORIZATION: I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company. I understand that any employment is conditioned a background check. I authorize the Company to thoroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to the Company, without giving me prior notice of such disclosure. In addition, I release the Company, any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure. I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be “at will” and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or the Company. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the Company unless made in writing. If I am offered employment agree to submit to a medical examination and drug test before starting work. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by the Company and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to the Company the results of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by the Company’s Drug and Alcohol Policy. I understand that filling out this form does not indicate there is a position open and does not obligate the Company to hire. If hired, I agree to abide by all Company work rules, policies and procedures. The Company retains the right to revise its policies and procedures, in whole or in part, at any time. If you are hired by the company, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements.*
- I agree
Signature
Email
Phone
Phone
Name
This field is for validation purposes and should be left unchanged.

Contact Human Resources

You may email our HR department with any questions concerning your job application or career opportunities.

Email Us

Employment Application

Step 1 of 2 - PERSONAL INFORMATION

NOTE:

PERSONAL INFORMATION

DOCUMENTS AND AUTHORIZATION

Contact Human Resources